Evidence map›Paper›PMID 40536805›Full record

ArticleJournal of medical Internet research2025

Managerial Challenges in Digital Health: Bibliometric and Network Analysis.

Quentin Garçon, Benjamin Cabanes, Cédric Denis-Rémis

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Quentin GarçonInstitut des Hautes Etudes pour l'Innovation et l'Entrepreneuriat, Mines Paris, PSL University, Paris, France.ORCID 0000-0001-6010-2736
Benjamin CabanesInstitut des Hautes Etudes pour l'Innovation et l'Entrepreneuriat, Mines Paris, PSL University, Paris, France.ORCID 0000-0002-3139-6293
Cédric Denis-RémisInstitut des Hautes Etudes pour l'Innovation et l'Entrepreneuriat, Mines Paris, PSL University, Paris, France.ORCID 0000-0002-6127-1125

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital health has emerged as a transformative force in modern health care systems; these systems have witnessed a surge in technological innovations and solutions over the past 2 to 3 decades. Some studies have provided overviews of keywords and journals that shed light on the current state of digital health research, and there is an increasing focus on this field of study, even in the literature on business, management, and managerial challenges. Papers and reviews are needed on challenges in digital health related to organization, management, and adoption of technological innovations, as there are currently no formal analyses or structured reviews.

objectiveGiven the existing focus of the business and management literature on digital health, there is a need to unravel managerial challenges in digital health. By highlighting foundational themes and challenges in management science for digital health, our objective is to contribute nuanced insights into influential studies and the structure of knowledge in this interdisciplinary domain.

methodsTo delineate the evolving landscape of digital health management and highlight the main challenges, we conducted a comprehensive bibliometric analysis. Our analysis considered peer-reviewed, English-language papers or reviews in the management field that focused on digital health or closely related concepts. To better understand the dataset, we conducted a performance analysis. Then, we created a co-citation network using BibExcel and analyzed it by clustering the papers using the Louvain algorithm in Gephi.

resultsOf 1186 papers about digital health or closely related concepts published between 1994 and 2022, 520 (43.8%) were included in the co-citation network and 468 (39.5%) were placed in 4 significant clusters (>1% of the total number of nodes). The mere existence of the clusters shows that different managerial challenges have distinct research communities. The 4 clusters were (1) user adoption and engagement in mHealth, (2) adoption and trust in mHealth services, (3) digital transformation in health care, and (4) implementation challenges and ethical considerations. There are interdependent managerial challenges in digital health, and a dynamic literature review provides a more precise understanding of what is at stake (eg, adoption studies) and upcoming challenges (eg, ethical considerations).

conclusionsOur co-citation analysis unveiled evolving themes in the literature on digital health management. The exploration of clusters suggested dynamic shifts related to ethical considerations, health care organizations, and societal acceptance. We encourage further research on these topics and exploration of the intricate facets of the literature on digital health management. We hope that this study provides a more comprehensive understanding of the literature and will provide researchers insights into the principal challenges and unidentified gaps, such as the novel cluster on ethics, or the need for intercluster research to create links between research communities.

Indexed as

BibliometricsTelemedicineDelivery of Health CareDigital HealthHumansadoptionbibliometricsdigital healthecosystemsethicshealth challengesliterature reviewmanagementmHealthmobile healthprivacytelemedicine

Identifiers

PMID40536805
PMCPMC12226779

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.